National Provider Identifier
Penelope Ivy Nelson, LADC
Penelope Ivy Nelson, LADC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Winnebago, MN and a listed phone number of (612) 877-0276.
Source: public NPPES record, last updated October 14, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1710640032
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 14, 2021
- Last Updated
- October 14, 2021
Practice Location
- 132 1St Ave Se
- Winnebago, MN 56098-1052
Phone: (612) 877-0276
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Penelope Nelson, LADC, is a Winnebago, Minnesota-based addiction counselor. A public CMS profile lists her Minnesota LADC credential and active provider status; no stronger public source was found for training, affiliations, faculty roles, research, or leadership background.
Full Record
- NPI
- 1710640032
- Entity Type
- Individual
- Last Name
- Nelson
- First Name
- Penelope
- Middle Name
- Ivy
- Credential
- LADC
- Mailing Street Address
- 132 1St Ave Se
- Mailing City
- Winnebago
- Mailing State
- MN
- Mailing ZIP Code
- 56098-1052
- Mailing Country
- US
- Mailing Phone
- (612) 877-0276
- Practice Street Address
- 132 1St Ave Se
- Practice City
- Winnebago
- Practice State
- MN
- Practice ZIP Code
- 56098-1052
- Practice Country
- US
- Practice Phone
- (612) 877-0276
- Enumeration Date
- October 14, 2021
- Last Updated
- October 14, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- October 14, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)